Get your Health question answered in 3 easy steps

162 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does my urinalysis report indicate?

Answered by
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3862 Questions

Posted on Fri, 22 Aug 2014 in General Health
Question: I received a urinalysis and my occult blood was 3+ and my rbc was >30. Ph was at the high end of the normal range. Everything else was in normal ranges including the wbc. What might that mean? I have some slight lower back pain and some blood in urine that seems more consistent when I don't drink a lot of water or if I drink alcohol. Urine did have what appeared to be dried blood/blood vessels in it for 48 hours after drinking alcohol but hasn't happened again for last two days.
I was recently on topomax and phentermine for weight loss but have been off for months and wondered if it could have had an influence on my prostate. I am 6ft and 230lbs.
Answered by Dr. Ivo Ditah 39 minutes later
Brief Answer:
See below!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this abnormal urine reading. This mainly indicates the presence of red blood cells. This e entire report is not suggestive of a possible infection. The next common causes of red cells in urine are kidney stones, bladder and kidney cancers, prostate problems, helminthiasis, etc. Your age makes prostate causes very unlikely. The minimal levels of red blood cells make cancers, especially bladder cancer, very unlikely as they often present with significant blood in urine that ay be visible to the naked eye.

The last and most likely possibility is a renal stone. This is what I will suggest that your doctors consider and probe further while trying to also eliminate the other possible causes. Blood examinations and imaging studies should be able to shed ore light on what the exact origin and cause of this may be. In some rare cases, there may be no real organic problem and all would resolve spontaneously and no abnormality would be found on testing.

In all, I am leaning more towards a renal calculi. Please, get investigated for this as a possible cause.

I hope this helps. I wish you well and thank you so much for trusting us with your health query. Feel free to ask for more information and clarification if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Topics ,  

Recent questions on Back pain

doctor1 MD

Hi, I am Santanu, Male, 32, 84 Kgs. I have a pain in my back that I think is associated with Kidney. Experiencing this for last 6 months, since I started losing weight from 103 kgs. This is a dull ache. A certain numbness. Have it in both sides. more prominent in my right kidney than the left. Had done a blood urea and a USG. both came normal. that was 4 months earlier. I have been drinking 5-6 litres of water. But the discomfort has not disappeared.

doctor1 MD

hi doctor, my mom face the issue of kidney stone before 6 months. she took medicines it looked like k.. but now suddenly she is facing the issue of stomach pain continued with back pain also.. previously she had pain left side of the kidney and now she had that pain in right side of the kidney.. when we palnned to take CT scan. that report says that she had a renal calculi in right side of the kidney nad mild seperation and prominence of the left pelvicalceal system is noted. can u please tell me whats the actual problem is?

doctor1 MD

My age 53, female, height 5.1 feet weight 70. Having cough frequently . used to take Asthalin for the last two years. This time I am taking 4mg in the morning and 4 mg in the night Now a cough is controlled to 90 % But since yesterday I got back pain. Is it due to Asthalin?

doctor1 MD

I have sciatica, fibromyalgia, bulging disc @ L4-5, degenerative disc disease, severe nerve damage. Question is .. constant diarrhea, I have to wear an adult diaper because of 'leakage', but also I seem to keep getting kidney infections, burning when I urinate, severe lower back pain, nausea. Any ideas on what all this could be? please... I probably misspelled some of this. I apologize

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

very small amount of brownish discharge after wiping, I finished my period just under 2 weeks ago, although I can't be precise. any reason for this?

doctor1 MD

I am 77 and take heart disease medications. I have lower back pain , am fatigued and joint pain. Suggestions?